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Nursing Assessment Report

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Added on  2020-01-23

Nursing Assessment Report

   Added on 2020-01-23

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Introduction to NursingAssessment 2
Nursing Assessment Report_1
TABLE OF CONTENTINTRODUCTION...........................................................................................................................3MAIN BODY...................................................................................................................................3The human factors focusing on communication, that led to the adverse outcomes in this case.3The coroner’s findings in relation to systems improvement and communication errors andhow these errors became a catalyst for change......................................................................5Role of RN in the detection and reporting of clinical deterioration.......................................7Findings and recommendations .............................................................................................7CONCLUSION................................................................................................................................8REFERENCES................................................................................................................................9
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INTRODUCTIONThe below report is based upon a presented case of a toddler's death who was merely 2years old and died due to an overlooked treatment conducted by the hospital authorities. This incontext to an incident took place in the year 2007 dated 20th September when a two year old boynamed Ryan Saunders whose mother consulted a general practitioner (GP) for his ill condition(Carayon & et. al., 2014). The consulted GP was a customary professional who often used totreat him before. Herein, he detected Ryan to suffer from mumps and as a result to which, he inturn prescribed two medicines namely Nurofen and Panadol to aid his whole body ache. Afterfour days of medication, when her mother was not able to observe any requisite improvement inhim, then she took him to a localized hospital in an ambulance from their Emerald house.After considering his entire case, the doctors over there was also not able to diagnose hisill health and they resultantly send Ryan to another hospital named Rockhampton Base Hospital(RBH). There also, several tests were conducted to know the factual cause of pain, Ryan wassuffering from. Wherein, it was yet again with some uncertain findings where lastly theyconcluded the realistic state of Ryan where he was found to suffer from a florid contagion(Ewen, 2014). As a result to which, he died just after 30 hours after he was admitted into thehospital named RBH. The present report has discoursed about the aforesaid case of Ryan byfocussing upon four leading areas to study those human factor that concentrate oncommunication which hereby led to such inauspicious outcome. Likewise, it has togetherdetailed the findings of coroner in regard to bring some requisite improvements in the existentsystems to destruct any sort of communication error. MAIN BODYThe human factors focusing on communication, that led to the adverse outcomes in this case.Any sort of failure in adopted practice of communication can atrociously impact upon thecare quality in a complex surrounding of hospital that can together lead to the occurrence ofaccidental harms as identified in Ryan's case. It is mainly in context to today's health caresystems operating like any other accelerating organisation have a broad deliverance procedurethat includes many interfaces along with diligent handoffs (Oh, Ozkaya & LaRose, 2014). It isalong with a collective set of such health care professionals who belong to distinct educationallevels along with dissimilar occupational trainings, etc., that reflects their own expertise in a
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particular field. It is where a patient during 4 day stay in a hospital, as in the recent case of Ryanalso tends to communicate with approx 50 various employees that involves nurses, physiciansand other skilled workers.An effectual pattern of a medical institution includes several illustrations where thereexists a prime requirement of conducting accurate communication to provide intact informationto the concerned bodies (Strauch, 2017). This in turn necessitates yet another essential tact of acollaborative team of individuals where in case the practitioners in the health and social care(HSC) settings are not referring to make effective communication, then this could lead to createenormous risks for the patient. It is however in relation to several other factors where deficiencyof vital data with misinterpreted information, perplexing commands over phone with unnoticedchange in status tends to risk the patient's life. The present section is to demonstrate those human factors concentrating oncommunication whose negligence often leads to unfavourable outcomes as in the recent case ofRyan where the decease of this innocent creature was merely due to a negligent outlook of themedical practitioners handling his case. It is where human factors tend to scrutinize therelationship among the individuals working in HSC settings and their interactive systems (Wells,Evans & Cheek, 2016). It is with a fundamental sense of concentrating upon the improvement ofcreativeness, job satisfaction, efficiency, and productivity, etc., with a prompt goal of lesseningany possibility of faults. Along with which, an effective application of the principles of humanfactors is also referred to be a foremost consideration whose non accomplishment can in turnresult in contrary outcomes. It is thereby crucial for the health care workers to have anelementary understanding of the principles of human factors.It is on considering the present case of Ryan where there existed a failed communicationamong the medical representatives of RBH where he was admitted at the end and was declared tobe expired within 30 hours. It is also in context to a fact where failure in communication isreferred to one of the major cause of accidental harm to patient with severe consequences at theend (Willig & et. al., 2015). With reference to which, there exists varied such human factors thatdirectly contribute in the failure of communication with a leading focus upon two leading factorsof communication and effective team work. Herein, a foremost factor involves deviation intraining the nurses and physicians where the nurses are taught to present the case history of apatient in a narrative where the doctors in turn are taught to be very brief in such matter.
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